Montour Dental is pleased to offer a dental discount membership plan to help our patients without insurance.
Your yearly $225 membership fee includes the following services:
- Two dental exams
- Two routine dental cleanings(prophylaxis)
- One set of check-up(bitewing) X-rays
- One emergency exam and periapical X-ray
Your membership also includes a 20% discount from our fee schedule for dental services.
To enroll in the plan, simply print and sign the form below and bring the form and your payment to the office.
Terms and Conditions
- Each membership fee is valid for one person.
- This membership is not insurance. Membership is valid only at Montour Dental.
- Membership is valid for one calendar year from sign up/renewal date.
- All included services must be used within one calendar year from sign up/renewal date. No carryover of services from year to year.
- Membership discount can not be combined with any other discounts or promotions.
- Care Credit can not be used to pay membership fee. If patients are using Care Credit to pay for treatment, discount will be adjusted from 20% to 10%.
- Membership discount does not apply to the following: no-show/broken appointment fees, whitening services, whitening refills.
- No refunds on membership dues.